The reflux nephropathy is induced into the renal parenchyma presumably by vesicoureteral reflux of infected urine Nierenvernarbung. The diagnosis is suspected in children with UTI or reflux nephropathy family history or when a prenatal ultrasound showing hydronephrosis. The diagnosis is made by a voiding cystourethrogram or Radionuklidzystographie. Children with moderate or severe reflux are treated with prophylactic antibiotics or surgical correction.
A reflux nephropathy is a form of chronic tubulointerstitial nephritis (overview of the tubulointerstitial diseases). Traditionally, the mechanism of renal scarring of chronic pyelonephritis was held. However, a reflux is probably the most important factor, and factors unrelated to reflux or pyelonephritis (z. B. congenital factors) are, can help.
The reflux nephropathy is induced into the renal parenchyma presumably by vesicoureteral reflux of infected urine Nierenvernarbung. The diagnosis is suspected in children with UTI or reflux nephropathy family history or when a prenatal ultrasound showing hydronephrosis. The diagnosis is made by a voiding cystourethrogram or Radionuklidzystographie. Children with moderate or severe reflux are treated with prophylactic antibiotics or surgical correction. A reflux nephropathy is a form of chronic tubulointerstitial nephritis (overview of the tubulointerstitial diseases). Traditionally, the mechanism of renal scarring of chronic pyelonephritis was held. However, a reflux is probably the most important factor, and factors unrelated to reflux or pyelonephritis (z. B. congenital factors) are, can help. Vesicoureteral reflux (VUR) affects about 1% of all newborns and 30-45% of all infants with UTIs. It often occurs in children with renal scarring and for unknown reasons less common among black children than in white. Familial predisposition is common. Children with severe reflux (up into the renal pelvis with ureteral) the highest risk of scarring and following hronischen kidney disease. Reflux requires insufficient ureterovesikale flaps or a mechanical obstruction in the lower urinary tract. Young children with shorter intravesical parts of the ureter are particularly vulnerable; normal growth usually leads to spontaneous stoppage of intrarenal and VUR at the age of 5 years. Newly added scars in children aged> 5 years are unusual but may occur after acute pyelonephritis. Symptoms and complaints As in young children except for occasional UTI scant symptoms and discomfort, the diagnosis is often overlooked until the adolescence when the patient then imagine a combination of the following: polyuria nocturia hypertension symptoms and complaints with adrenal insufficiency. Diagnosis Initial screening with ultrasound or voiding cystourethrography Radionuklidzystographie A reflux nephropathy may be suspected prenatally or postnatally. The initial inspection is performed with ultrasound, which is very sensitive. Diagnosis and staging of reflux nephropathy (pre- or postnatal presentation) are ultimately through a voiding cystourethrogram (MCU) that can detect the degree of Ureterdilation, provided. The Radionuklidzystographie (RNC) can also be used to offer less than the anatomical details VCUG but has a lower radiation exposure. The Nierenvernarbung is diagnosed using technetium-99m Dimercaptosuccinat- (DMSA-) Radionuklidscanning. Reflux nephropathy (voiding cystourethrogram) © Springer Science + Business Media var model = {thumbnailUrl: ‘/-/media/manual/professional/images/534-reflux-nephropathy-voiding-cystourethrogram-s128-springer-high_de.jpg?la=de&thn= 0 & mw = 350 ‘, imageUrl’ /-/media/manual/professional/images/534-reflux-nephropathy-voiding-cystourethrogram-s128-springer-high_de.jpg?la=de&thn=0 ‘, title:’ reflux nephropathy (voiding cystourethrogram ) ‘, description:’ u003Ca id = “v38397013 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eMiktionszystourethrografie is performed by filling the bladder with X-ray contrast material and observation to reflux under fluoroscopy